Provider Demographics
NPI:1043550288
Name:MBI HEALTHCARE SERVICES
Entity type:Organization
Organization Name:MBI HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOH-ARREY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D, BCACP, CDE
Authorized Official - Phone:623-521-9813
Mailing Address - Street 1:15396 N 83RD AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-5622
Mailing Address - Country:US
Mailing Address - Phone:623-521-9813
Mailing Address - Fax:
Practice Address - Street 1:15396 N 83RD AVE
Practice Address - Street 2:SUITE E
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-5622
Practice Address - Country:US
Practice Address - Phone:623-521-9813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service